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Organization
FIRST COAST CARDIOVASCULAR SURGICAL CENTER, LLC
Active
Organization
FIRST COAST CARDIOVASCULAR SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAZAN KHATIB MD (PRESIDENT)
(904) 493-3333
Entity
Organization
Contact information
Practice address
7011 A C SKINNER PKWY STE 170, JACKSONVILLE, FL 32256-6953
(904) 493-3333
(904) 493-2222
Mailing address
PO BOX 551308, JACKSONVILLE, FL 32255-1308
(904) 493-3333
(904) 493-2222
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
03/18/2024
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